HomeMy Public PortalAbout6317 SULTANA AVE_Electrical__ 76,663-Cy 806#11-71 APPLICATION FOR ELECTRICAL PERMIT IJ
.• ,y, COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING DING u Q.
BUILDING AND SAFETY DIVISION
S. LOCALITY Low `e ;.
NEAREST
FOR APPLICANT TO FILL IN. CROSS ST, j'(1 cL�JLJ+
OUTLETS NO. EACH FEE
OWNER
RECEPT.Z $ $ MAIL
FIRST 20 l3 25 XS ADDRESS .9�C'
LIGHT?` TOTAL ` CITY '��[ `e � TEL. NO.
SWITCH J -L-3- OVER 20 ,10
PLANCHECK
TOTAL
LIGHTING FIRST 20 3 .25 7 S APPLICANT
FIXTURES
OVER 20 .f0 ADDRESS
�
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT -1RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. . ADDRESS, oZ3/ LfS Gd/LJ ��
SPACE HTR. AIR COND.� CITY TEL. NO./VP�2
CLOTHES WASH. DISHWASH. LICENSE NO. Y�� CLASS.C# V
FAN OTHER / 1.00I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
l ! AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 9.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTI PROPERTY. O
SIGNATURE Ilm
10 - 50 5.00 OF PERM IITTEE � t•LJyisd 0
Q
50- 100 10.00 b
DISTRICTNO. CLASS ZONE PROCES ED BY
W
100 - 500 15.00 :?,
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIJONAL CIRCUITS 1A0
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING rj 7—
FIXTURES FIXTURES
POWER AUTHORIZED O Z
PERMIT FEE (SUB TOTAL) jr CJD
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 3 OD �.
TOTAL FEE ,
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION K. M.0. CASH
tfllio9 .2 7 '70 -Qr17 2 0 1 1...&Ycq
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
P
6A333 E8 6 1'62' APPLICATION FOW EL TRICAL- PERMIT -
COUNTY OF LOS ANGELES ,
DEPARTMENT OF COUNTY ENGINEER BUILDING 631 N. 'SULTANA
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
,�•, WILLIAM A.'JENSEN;SUPT OF BUILDING LOCALITY SAN GABRIEL•
-FOR APPLICANT TO FILL IN CROSS sT:LONG-DON
RECEPT• TOTAL NO. EACH FEE
OUTLETS FIRST 20 p '$. ' " s.' 1' 80. OWNER BRANS ON. f
LIGHT 7 /
9 ADD'L ,10 -ADDRESS
ESS'" OVER 20 _
LIGHTING; TOTAL FIRST 20 :20 i 60CITY'- TEL.NO.
FIXTURES } 3 AnD'L :10 ELECTRICIAN:CONLEE & SON ELECTRIC '
OV R 20
RANGES CLO.DRYERS WTR.HTRS. '1.00 ADDRES61030 N. GRANDVIEW AVE.
'GARB.DISP: �;• STA.COOK -•• CITY SO. SAN .•NoAT•WAN _
DISHWASH. AUTO.-WASH." STATEL _
SPACE HTRS. STA,APP.(V&H:P:.MAX.) 1' .,5p, JC LICENSE NO. .1' 75® C—lO
MOTOR$, OVER ` NOT OVER H.P. ;DISTRICT
O!E GROUP. P SSED BY
O 1 1.00 +
1-J AC• 1 S 1:50 U5 INSPECTION. RECORD'
a 1s 2.50 -V O,
,1's so 3.00 u
" ., De
so _. 100 5.00 0
SIGNS, NO.TRANS• u,
NO.LAMPS - '
_ Lua
SERVICE 0.600V-NOT-OVER 200A 1.00 1' .0 I Z
SERVICE 0.800V-OVER 200 A. 2.00
SERVICE OVER 800V 5.00 r n
MISC.
PERMIT-ISSUING FEE :2.00 2 0 - I
SUPPLEMENTARY-PERMIT ISSUING FEE, 1.00 `+
TOTAL FEE 8 7*40
.I HEREBY ACKNOWLEDGE.THAT 1 HAVE READ'THIS APPLICATION APPROVALS DATE INSPECTOR'S'SIGNATURE-
AND STATE-THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY . CONDUIT S ,I'. •S'•
WITH ALL-COUNTY'ORDINANCES' AND STATE LAWS REGULATING
ELECTRICAL WIRING. - f"j� "�,•
WIRING ;"�•j''��.:;j_ .i ^Y3..:,-•+—'�.r
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE ',OF FIXTURES 1`Z -Co3 ./ •D' ^�•
CALIFORNIA OR THA THE LEGA OWNER OF THE ABOVE ,
DESCRIBEC.RESIDENT A PR PE POWER
SIGNATURE UTILITY CO.NOTIFIED • 1-(a3
OF PERMITTEE •
FINAL.
LIDATION ARTHUR C. VEIT V
CK MO "CASH 'SUPERVISING ELECTRICAL ENGINEER`
a
Li tC' 0 0 2 4"I'DJAPE'2.2' 2 D 7.4 O N v
76A66
r,• hffirm{th I how. u cerci DECLARATION C:E-&M 10/81 APPLICATION FOR ELECTRICAL PERMIT
41,:,ereby Sffirm that I he,ru u certificate of consent to self `E-t106G
insure, or a•certificate ,VIVOrkers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy eo#(Sec. 3800, Lab. C.) / cog '�
Poli y No, --Company PGI%1R•� FOR APPLICANT TO FILL IN ADDRESS !rP 1 c�MIL� /U
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO FEE
❑ _ I&A
Certified copy is filed with the county budE LOCALITY ding inspec- 1 &2-Family, Sq. Ft.
tion department' Multi-family Sq. Ft. — NEAREST
6
Residential Swimming Pools CROSS ST.
Date Applicant OWNER OR
FIRM NAME I�G COVI4 4 �C4 C', Ici.
CERTIFICATE OF EXEMPTION FROM WORK S' Outlets: Rec�Ljght�Sw.� MAIL 3
COMPENSATION INSURANCE ADDRESS 0 f3e 03
(This section need not be completed if tho work involved by j First 20
the permit is for one hundred dollars($100)or loss.) Total No. Additional CITY ALp•{ M 04 Tel. No.�
I certify that in the performance of the work for which this PLAN CHECK
APPLICANT
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 49,91 ADDRESS
Total No.— Additional
CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of 5
APPLICANT HM CN-g41q.
Exemption, you should become subject to the Workers' Range_ Heater_D.W.
Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M._ ADDRESS V C 06X 1331
with comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. Hood CITY % 4t"t Tel. No.�,�';3�'
LICENSED CONTRACTORS DECLARATION _ Fan _Other_ j PTyt
Disp. _ Room Air Cond. LICENSE M fi,I> Class.
MBER
(commencing with Section y lie of Division 3 of the d effect.
Power Apparatus&Large Appliances DISTRICT O PROCE BY Qom„'
and Professions Code,and my license is in full force and effect.
tn'/O Size&Type HP, KW, KVA, or KVAR
License Number Lic. Class ( Up to 1 Incl.
L
Over 1 to 10 Incl. DATE 7 O
7 E�
Contractor. Zi-/ `"r� G"�'� 'z-1 Date ®13 C. C% VALIDATION I...
❑ Over 10 to 50 Incl. FIN41. i W
W
I am exempt under Sec. Over 50 to 100 Inc. N
B.&P.C. for this reason Over 100 Z
Services, Swbd., MCC&Ponelboards
Date: 0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp. Power Pole&Appurtenances 0 0 0 o u
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License J o o 21,- 0
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code): o 0 n
❑ I, as owner of the property, will do the work and the M:sc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ® 0 h 1 J`
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec 3097, Civ C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address d
I certify that I have read this application and state that the TOTAL FEE lB�
above information is correct, I agree to comply with all County
ordinances and State jaws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the o - entioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
6-i+3-
Signature of Permitte Date
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0608250021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6317 SULTANA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SCAR CA 917752031
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 86.10 08/25/06 JK 02/21/07
OWNER: TEL. NO: 70;r
E i FI L BY: CODB:
BALHUENA MARIANO C;TRINIDAD (626) 287-1926- �✓�',vL
6317 SULTANA AV
SGAB 917752031 DESCRIPTION OF WORK
TUB WILL BE REPLACED W/JACUZZI AND 2 ADDITIONAL LIGHT
FIXTURES
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # OSOB ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0505 0608250004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6317 SULTANA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAH CA 917752031
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
J8 ELEC HEATERS +3-10HP 1.00 HEA 19.65 08/25./06 JK 02/21/07
TOTAL FEES 51.30
OWNER: TEL. NO: F -,It TE FINAL BY: CODE:
BALHUENA MARIANO C;TRINIDAD (626) 287-1926- 9 �
6317 SULTANA AV
SGAB 917752031 DESCRIPTION OF WORK
ELECTRICAL FOR BATHROOM REMODEL
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS050B